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A random Abstract
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Successful implantation of a left ventricular assist device in a patient with heparin-induced thrombocytopenia and thrombosis.
[heparin-induced thrombocytopenia]
We
report
the
case
of
a
27
-
year
-old
woman
with
signs
of
heparin-induced
thrombocytopenia
and
thrombosis
(
HITT
)
and
left
heart
failure
presenting
for
urgent
implantation
of
a
left
ventricular
assist
device
(
LVAD
)
.
HITT
can
occur
in
4
.
2
-
6
.
1
%
of
patients
with
LVADs
.
If
the
patient
remains
hemodynamically
stable
,
implantation
can
be
delayed
for
several
months
until
the
heparin
/
PF-
4
antibodies
decline
allowing
the
use
of
heparin
on
cardiopulmonary
bypass
,
However
,
in
most
cases
related
to
cardiogenic
shock
,
surgery
can
not
be
delayed
.
We
present
the
case
of
a
patient
who
underwent
implantation
of
a
HeartMate
II
LVAD
and
discuss
management
strategy
using
bivalirudin
during
cardiopulmonary
bypass
.
